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Iswarya Fertility Centre & Women's Hospital
Iswarya
Fertility Centre
Female Infertility

Hypothalamic Amenorrhoea

Loss of menstruation due to suppressed GnRH secretion, often triggered by extreme energy deficit, excessive exercise, or psychological stress.

Overview

Overview

Loss of menstruation due to suppressed GnRH secretion, often triggered by extreme energy deficit, excessive exercise, or psychological stress.

Symptoms

Absent periods for 3+ months
Low BMI or recent weight loss
Intense exercise history
Low oestrogen symptoms
Stress or anxiety

Causes

1
Excessive exercise
2
Eating disorders / caloric restriction
3
Psychological stress
4
Chronic illness

How It's Diagnosed

FSH, LH (very low)
Oestradiol (very low)
Brain MRI to exclude pituitary lesion
Bone density scan

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Hypothalamic Amenorrhoea — Causes, Symptoms & Treatment | Iswarya Fertility | Iswarya Fertility